Endovascular treatment and neurointensive care of ruptured aneurysms

Aneurysmal subarachnoid hemorrhage is an acute critical illness that requir es an integrated approach of medical, radiologic, and surgical care. Acute stabilization and resuscitation of the patient is followed by diagnostic an giography, including multiple views. The removal of endovascular occlusions using detachable coils and the initial efficacy results are outlined in th is article. Acute neurologic and medical complications and uses of speciali zed neurologic monitoring techniques are also discussed.